| NPI | 1417266024 |
|---|---|
| Other Name | ANTHONY OBIERO OMBOGO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108702) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL trn12964) |
| 207Q00000X Family Medicine (Licence: GA 66728) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2021-06-11 |